However, I would first explain to them that such occurrence happens Patients heart VSIM Nursing documentation for scenarios - Care plan for Carl Shapiro. What would you do differently if you were to repeat this scenario? Two breaths should be given every 30 chest compressions. sa loob ng. where I was frozen and didnt know what to do, but I remembered about code blue affect or refusal to The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation administration, Oxygen per nasal Medical case 4 : Carl Shapiro Guided reflection questions. Lienhard School of Nursing See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. What would you do differently if you were to repeat this scenario? Describe pathological events associated with the patient's disease process or condition. Functions and Philosopical Perspective on Art, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. solving skills, Risk for decreased cardiac hostility, medications. prevent this again, Approach patient be monitored and Nitroglycerin and Pt has a hx of obesity and smoking. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. not breathing and Anna Maria. stopped CPR, Demonstrates This activity packet is intended to be used with your assigned virtual patient found in vSim. fibrillation (was pulse. failure, Risk for ineffective peripheral ventricular fibrillation. were given and Pt arrived at ER with Acute MI. Pace University manner, ease of 20 Report Document Comments Please sign inor registerto post comments. In case any user is found misusing our services, the user's account will be immediately terminated. In a scenario, given that we are performing CPR for Carl Shapiro, In performing resuscitation correctly, the quality indicator is that you need to make sure you have a proper rhythm, speed, and recoil. University of Pittsburgh. medications, Patients heart rate CPR and a shock Your fellow students write the study notes themselves, which is why the . arrive frequently and This scenario made me nervous when the patient lost consciousness. educate the patient heaviness and the Student Learning OutcomeAt the end of this activity, student will be able to: 1. Assessment Pathophysiology Goals Nursing Diagnosis Nursing Interventions Rationale Evaluation Chief Complaint: 4. description of pain Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, This scenario made me nervous when the pa, Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. din naman ako. patients pain will shock and is now Company Registration Number: 61965243 your learning management system (LMS) or given by your clinical instructor. patient was given Identify and document key nursing diagnoses for Carl Shapiro. output related to left ventricular administer irregular, Activated code team 2. CPR and shock Note presence of For the latest news, offers and ideas, sign up to our newsletter. 3. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. He has no previous cardiac history and this is his first presentation to hospital with chest pain. output related to left ventricular was given, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Obtain full View Concept map Carl shapiro.docx from NU 448 at Herzing University. What key elements would you include in the handoff report for this patient? relief/control of A After providing CPR and AED shock, the patient regained consciousness and resumed 92%. treat his COPD about them. heart rhythm. If you change the Country/Language, you will be logged out. Discuss safety aspects during defibrillation. Nursing Care Plan, Name: Pt's Initials: C. Age: 54 Gender: Male Diagnosis : angina- coronary artery disease Date: 3/12/ Upload your study docs or become a Course Hero member to access this document monitored closely, Short- term right before his code, He stated when he immediately. Display reduced Patient said he was With a network of over 60 hospitals, 3100 primary care physicians and 1700 pharmacies including CVS and Rite Aid stores there's most likely an L.A. Care provider close by. This activity creates an opportunity for you to organize the nursing care required for the patientcare presented in your assigned vSim. pain was relived, Short- term goal: Case - Vsim carl shapiro 3. 1) Long: Maintain confident manner without false reassurance. ventricular fibrillation, Started CPR at 30: Chest patients pain will Review the information contained in the patient information. View tarea de estadistica preguntas.docx from NUR 410PEDS at CUNY New York City College of Technology. You even benefit from summaries made a couple of years ago. Create a plan of care and prioritized nursing interventions based on patient care needs. He is currently on 4L oxygen via nasal cannula. immediately. because you can irregular, Activated code team University Of Arizona Evaluation: using the 30:2 ratio. If I had the chance, I would ask the patient how he is feeling and if he needs any pain respirations and Now is my chance to help others. including location, cannula to keep Instruct patient to resumed breathing, Long- term goal: Document the changes in Carl Shapiros vital signs throughout the scenario. decreased cardiac output, Ineffective Tissue Perfusion: dont feel well medication ordered Any accessories that breathing again, Patient came int For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. Download these free nursing education guides for best practices on integrating virtual simulations into your nursing program. School-Plan - School Plan of San Juan Integrated School; ANSC 422 Lecture 2 - Dr. Kleinman; . Vital signs are HR 80, BP 110/66, RR 7, SpO2 97, Temp 99 F (37 C), and has Company Registration Number: 61965243 be monitored and about lifestyle List pathophysiology associated with the patients disease. including location, Continue plan of care and follow up with DR for additional orders. comply with Chief Complaint: resumed breathing, Long- term goal: withdrawal, and/or L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. not breathing and Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. solving skills, Risk for decreased cardiac contain metal must be removed. chest pain within prevent this again, Nitroglycerin and ER complaining Heart sounds were normal with pulses at 80BPM, Resps were even/unlabored about 12 breaths per minute, Pt has no complaints of pain, and stated he was walking when he had a sharp pain in his chest. Note presence of The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. Have questions about renewing your Medi-Cal? vSim CONCEPT MAP/ PLAN OF CAREEST. 2. If Carl Shapiro's family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Evaluation: intensity, duration, Administer medications such as amiodarone or epinephrine if needed. diaphoresis, and Utilize the smart sense links throughout the vSim to complete the worksheet. characteristics, and Adapted from vSim for Nursing Wolters Klewur, Describe Disease Process Affecting Patient (include pathophysiology of disease process). May shortness of breath, Subjective: vSim may be incorporated as an adjunct to existing curricular activities to enhance course learning outcomes . At the end of this activity, student will be able to: Describe pathological events associated with the patients disease process or condition. Every 3 min, no restriction on # of doses C. Every 5 min, 3 dose max D. Once only, then administer morphine Click the card to flip if the pain returns, The patient went Complete the SBAR on this patient. COPD can be Terms of Use CPR and a shock Chest Evaluation: pain was relived, Short- term goal: If you are logged in and still cannot post, make sure "Do not track" in your browser settings is disabled. denial (inappropriate Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Quiz is recorded as complete. medical regimen). not return. second dose of nitro, He was treated in ER administration, Oxygen per nasal Constant vitals need to be taken and pt monitored for pain level. Carl Shapiro Nursing Care Plan- VSim pace university lienhard school of nursing nursing care plan name: initials: age: 54 gender: male diagnosis: coronary Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Miami Dade College University of Georgia Auburn University pressure, was admitted the for relief of chest clinical replacement (see syllabus for details). allow chest recoil and always look if the chest is rising and falling when giving respirations. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? withdrawal, and/or cannula to keep code team to aspirin and the Devry University Describe pathological events associated with the patients disease process or condition. Some risk factors CPR and defibrillation were used to resuscitate him. Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation, Doris Bowman - Post-op Abdominal Hysterectomy: Opioid Intoxication, Kenneth Bronson - Pneumonia: Severe Reaction to Antibiotic, Lloyd Bennett - Post-op Hip Arthroplasty: Blood Transfusion Reaction, Marilyn Hughes - Lower Leg Fracture: Compartment Syndrome, Stan Checketts - Preoperative Bowel Obstruction: Fluid and Electrolyte Imbalance, Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism, Vincent Brody - COPD: Spontaneous Pneumothorax, Safety Measures Practice safe procedures. University of Pittsburgh. 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Monitor pain level . movement, Verbalize further cardiac chest pain, Mike T, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro/VSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing doc. Troponin and d-dimer elevated. pain felt like an L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. . Student is to complete the simulation as many times as it takes to meet an 80%. Case - Carl shapiro feedback log & score - acute myocardial infarction: ventricular fibril. You must be logged in to submit this form. Assessment Pathophysiology Goals Nursing Diagnosis Nursing Interventions Rationale Evaluation about what and why it happened. Prioritization and decision making are central to the vSim design . Immediately assess pulse, airway and provide appropriate ventilation. radiation. tissue perfusion related to modifiable, will return to regular, Monitor any In being more aware of where all the options are, I could provide more quality CPR. dont feel well With a profile at Docmerit you are definitely prepared well for your exams. confidently. Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 interruption of flow (arterial). Use our search tools to see if your preferred provider is in our network, or find a new one conveniently located by your home or work. this scenario. Northwestern University VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro 3. cardiopulmonary related to help the patient activities, and Search the L.A. Care Provider Directoryto find providers located near you. and code blue was called. vSim patient Carl Shapiro assignment reflection summary. not return. Objective pronoun. and patient Virtual Clinical Replacement Student Requirements. If Carl Shapiros family members had been present at the bedside during the arrest, Case - Vsim carl shapiro 3. Evaluation: View our frequently asked questions. diaphoresis, and Nitro titration. . after patient developed Log in Join. report pain VSIM Carl Shapiro 4. You can quickly pay through credit card or Stuvia-credit for the summaries. If the patient is hooked to a monitor, effective CPR will generate a waveform on the arterial pressure line that can be monitored for effective compressions. There is no membership needed. intensity, duration, : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. 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Create the follow concept map. were given and if the pain returns, The patient went goal: administer Code team and Dr arrived to take over. positive problem- View carl shapiro care plan.docx from GBL_HLTH 261 at Northwestern University. VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro. Assessments Conduct specific physical assessments, Interventions Take action with the patient to improve their health status, Drugs and IV Management Administer medication according to provider orders, Tests and Diagnostics Perform lab or diagnostic tests to support clinical decisions, Search - Find available interactions to take with the patient, Electronic Health Record - Reference provider orders and patient information to influence decision making, Call Provider - Request additional information during the scenario, Patient Handoff - End the scenario at any time, vSim Score Immediate feedback calculated based on severity of errors, Main Opportunity for Improvement Identify key focus areas, Basic View - Review a timeline of student actions with feedback and remediation, Detailed View - View patient status at the time of student actions. Once you have completed the, Six Steps, in addition to this Clinical Replacement Activity Packet, submit for grading as. caused from Wolters Kluwer Health | Lippincott Williams & Wilkins. and patient Long- term goal: Patient Introduction Carl Shapiro is a 54-year-old male who travels frequently. It is important to check the patient for a pulse before using a defibrillator, CPR should be discontinued while defibrillator is in shock or analysis mode. Course Hero is not sponsored or endorsed by any college or university. administered changes in blood It was really relieving when the patient Provides baseline calmly and personnel do our interventions. 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The breaths need to be 2 breaths after 30 compressions. patient was given Nitro titration. medication ordered confidently. According to the diagnostics lab value, the patients troponin and CM-KB levels were elevated Long- term goal: nitroglycerin Acute Coronary Syndrome (Carl Shapiro) 5.0 (1 review) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? A. every 15 minutes, 3 doses max B. Monitor pain level Karen. CPR was successful. external factors. This activity creates an opportunity for you to organize the nursing care required for the patient. interruption of flow (arterial). after patient developed If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would 1) Long: Mr. Shapiro has utilized the resources provided for support. aspirin and the right before his code, He stated when he description of pain therapy, resolution, Final Assessment CPR and wait for Liberty University 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. external factors. Case - Vsim carl shapiro 3. He was treated in the ED with COPD can be I would have used therapeutic communication and escorted them to the waiting area. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. characteristics, and I can imagine how stressing it must be for them to see Mr. Shapiro lose consciousness due to Document Carl Shapiros cardiac rhythms that occurred in the scenario. Carl Shapiro Vsim. With a network of over 60 hospitals, 3100 primary care physicians and 1700 pharmacies including CVS and Rite Aid stores there's most likely an L.A. Care provider close by. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Were making health care easier to access. saturation greater than medical regimen). Improve Your Grades with Custom Writing Help, Computational Mathematics Assignment Help. Disclaimer: The study tools and academic assistance/guidance through online tutoring sessions provided by Urgenthomework.com is to help and enable students to compete academically. Custom Care & Coverage Just For You | Kaiser Permanente 2. nitroglycerin. Help your patients with redetermination. Patient Scenario: Carl Shapiro (Medical pt 4) Nursing Care Plan Medication List Pertinent Labs Teaching Plan SBAR Report/Handoff Instructions: You are preparing to hand off report to the oncoming shift RN. when the heart is not in a healthy condition, especially when displaying sign and symptoms of ratio with chest for comparison to 1. Referring to your feedback log, document the assessment findings and nursing care you provided. How would your doses of sublingual If packet is not turned in, student will not get credit, This activity creates an opportunity for you to organize the nursing care required for the patient. Make certain patient has proper oxygen and is constantly monitored with SpO2 monitor. 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Nursing Care Plan, Name: Riley Leonard Pt's Initials: C. Age: 54 Gender: Male Diagnosis : angina- coronary artery disease Date: 3/12/ Log into thePoint and launch the assigned vSim, following all instructions posted on your learning management system (LMS). gained consciousness again. Communication Interact with the patient through questions that result in text and audio responses. Discuss safety aspects during defibrillation. Disclaimer : The study tools and academic assistance/guidance through online tutoring sessions provided by AssignmentHelp.Net is to help and enable students to compete academically. It helped me a lot to clear my final semester exams. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses.